| Literature DB >> 33959049 |
Arndt Büssing1,2, Daniela Rodrigues Recchia3, Thomas Dienberg2, Janusz Surzykiewicz4,5, Klaus Baumann6.
Abstract
Background: While the COVID-19 pandemic has affected the lives of almost all people worldwide, many people observed also positive changes in their attitudes and behaviors. This can be seen in the context of posttraumatic growth. These perceived changes refer to five main categories: Nature/Silence/Contemplation, Spirituality, Relationships, Reflection on life, and Digital media usage. A previous study with persons recruited in June 2020 directly after the lockdown in Germany showed that the best predictors of these perceived changes related to the Corona pandemic were the ability to mindfully stop and pause in distinct situations, to be "spellbound at the moment" and to become "quiet and devout," indicating moments of wondering awe, with subsequent feelings of gratitude. Now, we intended to analyze (1) by whom and how strongly awe/gratitude was experienced during the COVID-19 pandemic, and (2) how these feelings relate to perceived changes and experienced burden, and (3) whether or not feelings of awe/gratitude contribute to participants' well-being or may buffer perceived burden in terms of a resilience factor.Entities:
Keywords: COVID-19 pandemic; awe; burden; gratitude; perceived changes; resilience; spirituality
Year: 2021 PMID: 33959049 PMCID: PMC8095710 DOI: 10.3389/fpsyt.2021.642716
Source DB: PubMed Journal: Front Psychiatry ISSN: 1664-0640 Impact factor: 4.157
Sociodemographic data of participants (N = 2,573).
| Women | 1,443 | 67.9 | ||
| Wen | 821 | 32 | ||
| 1,261 | 48.7 ± 14.2 | 15–92 | ||
| Family household | 1,664 | 64.7 | ||
| Shared house | 229 | 8.9 | ||
| Single | 515 | 20 | ||
| Monastery/community | 180 | 7 | ||
| Administration | 368 | 14.3 | ||
| Economy | 243 | 9.4 | ||
| Education | 285 | 11.1 | ||
| Medicine/health | 527 | 20.5 | ||
| Church | 434 | 16.9 | ||
| Other | 913 | 35.6 | ||
| Catholics | 1,331 | 51.7 | ||
| Protestant | 569 | 22.6 | ||
| Other | 105 | 4.1 | ||
| None | 570 | 22.2 | ||
| Disagreement | 705 | 28,1 | ||
| Undecided | 728 | 29.1 | ||
| Agreement | 1,072 | 42.8 | ||
| 1.2 ± 1.2 | 0–3 | |||
| Never | 1,054 | 44.3 | ||
| At least once per month | 345 | 14.5 | ||
| At least once per week | 449 | 18.9 | ||
| At least once per day | 530 | 22.3 | ||
| 1.6 ± 1.3 | 0–3 | |||
| Never | 821 | 34.6 | ||
| At least once per month | 267 | 11.3 | ||
| At least once per week | 378 | 15.9 | ||
| At least once per day | 905 | 38.2 | ||
| 1.8 ± 0.9 | 0–3 | |||
| Never | 354 | 14.9 | ||
| At least once per month | 348 | 14.6 | ||
| At least once per week | 1,217 | 51.1 | ||
| At least once per day | 461 | 19.4 | ||
| 2.1 ± 0.8 | 0–3 | |||
| Never | 83 | 3.5 | ||
| At least once per month | 388 | 16.2 | ||
| At least once per week | 1,236 | 51.6 | ||
| At least once per day | 690 | 18.8 | ||
| Life satisfaction (BMLSS-10) | 2,573 | 67.2 ± 16.1 | 0–100 | |
| Satisfaction with Support (BMLSS Support) | 2,571 | 60.6 ± 18.2 | 0–100 | |
| Wellbeing (WHO-5 100) | 2,572 | 58.7 ± 22.2 | 0–100 | |
| Wellbeing (WHO-5 sum) | 2,573 | 14.7 ± 5.5 | 0–25 | |
| Low wellbeing (WHO-5 sum scores <13) | 835 | 32.5 | ||
| Moderate wellbeing (WHO-5 sum scores 13–18) | 973 | 37.8 | ||
| High wellbeing (WHO-5 sum scores >18) | 765 | 29.7 | ||
| Perceived burden (“Stressors”) (5NRS) | 2,572 | 31.0 ± 20.9 | 0–100 | |
| Loneliness/social isolation (NRS) | 2,572 | 25.0 ± 28.5 | 0–100 | |
| No loneliness (NRS scores = 0) | 900 | 35 | ||
| Low to moderate loneliness (NRS cores 10–50) | 1,245 | 48.4 | ||
| High loneliness (NRS scores 50–100) | 427 | 16.6 | ||
| Nature/Silence/Contemplation | 2,549 | 56.6 ± 21.0 | 0–100 | |
| Spirituality | 2,549 | 41.8 ± 26.0 | 0–100 | |
| Relationships | 2,551 | 63.3 ± 18.9 | 0–100 | |
| Reflection on life | 2,549 | 52.3 ± 25.0 | 0–100 | |
| Digital media usage | 2,548 | 54.5 ± 23.7 | 0–100 | |
Some ascribed themselves to multiple professions, and thus, the response rate is >100%.
Items and response rate of the Awe/Gratitude scale.
| ED1 | I have a feeling of great gratitude. | 3 | 21 | 52 | 25 | 1.99 ± 0.75 |
| ED2 | I have a feeling of wondering awe. | 10 | 44 | 36 | 11 | 1.48 ± 0.82 |
| ED3 | I still have learned to experience and value beauty. | 1 | 9 | 57 | 33 | 2.23 ± 0.63 |
| ED4 | I stop and am captivated by the beauty of nature. | 1 | 13 | 46 | 40 | 2.24 ± 0.71 |
| ED5 | I pause and stay spellbound at the moment. | 3 | 38 | 43 | 17 | 1.74 ± 0.76 |
| ED6 | In certain places I become very quiet and devout. | 3 | 31 | 46 | 21 | 1.84 ± 0.78 |
| ED7 | I stop and then think of so many things for which I am really grateful. | 3 | 28 | 48 | 21 | 1.88 ± 0.77 |
Awe/Gratitude in different subgroups.
| All | 63.74 ± 18.79 |
| Female | 66.13 ± 18.32 |
| Male | 58.72 ± 18.79 |
| 89.85 | |
| <0.0001 | |
| Cohen's d (f/m) | 0.40 |
| <30 years | 57.10 ± 17.92 |
| 30–40 years | 57.20 ± 19.27 |
| 41–50 years | 62.25 ± 19.06 |
| 51–60 years | 67.04 ± 17.84 |
| 61–70 years | 69.03 ± 16.96 |
| >70 years | 72.52 ± 16.62 |
| 37.90 | |
| <0.0001 | |
| Cohens' d (<30/>70) | 0.88 |
| Living in Monastery | 73.02 ± 15.32 |
| All other | 63.04 ± 18.84 |
| 48.11 | |
| <0.0001 | |
| Cohens' d (monastery/not) | 0.60 |
| Does not apply | 53.67 ± 18.11 |
| Partly | 62.00 ± 16.25 |
| Applies | 71.36 ± 17.58 |
| 225.56 | |
| <0.0001 | |
| Cohens' d (yes/no) | 0.99 |
| Scores <13 | 57.03 ± 18.50 |
| Scores 13–18 | 63.85 ± 16.94 |
| Scores >18 | 70.92 ± 18.68 |
| 119.05 | |
| <0.0001 | |
| Cohens' d (high/low) | 0.70 |
| Scores 50–100 | 57.67 ± 19.95 |
| Scores 10–50 | 63.23 ± 17.17 |
| Scores = 0 | 67.32 ± 19.56 |
| 40.31 | |
| <0.0001 | |
| Cohens' d (high/low) | 0.49 |
Correlations between Awe/Gratitude and other variables.
| Nature/Silence/Contemplation | 0.408 |
| Spirituality | 0.407 |
| Relationships | 0.333 |
| Reflection on life | 0.257 |
| Digital media usage | 0.146 |
| Restrictions | −0.174 |
| Life satisfaction (BMLSS-10) | 0.289 |
| Well-being (WHO-5) | 0.316 |
| Perceived burden (5NRS) | −0.153 |
| Physical activities/sporting | 0.143 |
| Walking outside in nature | 0.237 |
| Meditation | 0.442 |
| Praying | 0.365 |
p < 0.001 (Spearman rho); moderate associations are highlighted.
Predictors of well-being as dependent variable (regression analyses).
| Constant | 32.891 | <0.0001 | 33.405 | <0.0001 | 19.082 | <0.0001 | 8.355 | <0.0001 | ||||
| Male gender | −0.199 | −10.081 | <0.0001 | −0.177 | −9.300 | <0.0001 | −0.190 | −10.482 | <0.0001 | −0.162 | −9.157 | <0.0001 |
| Age cohorts | 0.266 | 13.450 | <0.0001 | 0.100 | 4.931 | <0.0001 | 0.070 | 3.560 | <0.0001 | 0.054 | 2.842 | 0.005 |
| Faith as hold | 0.180 | 6.669 | <0.0001 | 0.144 | 5.584 | <0.0001 | 0.105 | 3.972 | <0.0001 | |||
| Meditation | 0.286 | 13.393 | <0.0001 | 0.285 | 13.963 | <0.0001 | 0.232 | 11.180 | <0.0001 | |||
| Praying | 0.080 | 2.911 | 0.004 | 0.088 | 3.333 | 0.001 | 0.075 | 2.763 | 0.006 | |||
| Well-being (WHO-5) | 0.134 | 5.945 | <0.0001 | 0.161 | 6.721 | <0.0001 | ||||||
| Life satisfaction (BMLSS-10) | 0.164 | 7.382 | <0.0001 | 0.184 | 8.019 | <0.0001 | ||||||
| Nature/Silence/Contemplation (PCQ) | 0.084 | 3.190 | 0.001 | |||||||||
| Spirituality (PCQ) | 0.025 | 0.805 | 0.421 | |||||||||
| Relationships (PCQ) | 0.082 | 3.668 | <0.0001 | |||||||||
| Reflection on life (PCQ) | 0.101 | 4.232 | <0.0001 | |||||||||
| Digital media usage (PCQ) | −0.020 | −1.048 | 0.295 | |||||||||
| Perceived restrictions (PCQ) | −0.035 | −1.582 | 0.114 | |||||||||
| Perceived burden (5NRS) | 0.103 | 4.210 | <0.0001 | |||||||||
Predictors of well-being (stepwise regression).
| (constant) | 5.984 | <0.0001 | |
| Life satisfaction (BMLSS-10) | 0.339 | 17.154 | <0.0001 |
| Perceived burden (5NRS) | −0.320 | −16.578 | <0.0001 |
| Awe/Gratitude (GrAw-7) | 0.123 | 6.535 | <0.0001 |
| Perceived Changes: Nature/Silence/Contemplation (PCQ) | 0.168 | 7.251 | <0.0001 |
| Perceived Changes: Reflection of life (PCQ) | −0.115 | −5.651 | <0.0001 |
| Age cohort | 0.062 | 3.715 | <0.0001 |
| Walking outside in nature | 0.049 | 2.907 | 0.004 |
| Perceived Changes: Relationships (PCQ) | −0.059 | −2.912 | 0.004 |
| Female gender | 0.046 | 2.801 | 0.005 |
| Physical activities/sporting | 0.039 | 2.407 | 0.016 |
Not significant in the model: Praying, Meditation, Satisfaction with support, Perceived Changes: Spirituality; Perceived Changes: Digital media usage.
Figure 1Different mediation models with Awe/Gratitude as mediator. Well-being as predictor and Nature/Silence/Contemplation as outcome mediated by Awe/Gratitude (A). The proportion of causal effect explained by the mediator is 42%, direct effect is 0.15, and total effect is 0.26. Nature/Silence/Contemplation as predictor and well-being as outcome mediated by Awe/Gratitude (B). The proportion of causal effect explained by the mediator is 38%, direct effect is 0.18, and total effect is 0.29. Well-being as predictor and Relationships as outcome mediated by Awe/Gratitude (C). The proportion of causal effect explained by the mediator is 62%, direct effect is 0.05, and total effect is 0.14. Well-being as predictor and Reflection as outcome mediated by Awe/Gratitude (D). The proportion of causal effect explained by the mediator is 95%, direct effect is −0.26, and total effect is −0.13.
Figure 2Moderator model for Awe/Gratitude (GrAw), R2 = 0.36, with well-being (WHO-5) negatively moderating the regression effect of Relationship, but positively moderating the effect of Meditation and Praying on Awe/Gratitude.
Figure 3Course of well-being, perceived burden, and awe/gratitude within the 6-month observation period (**p < 0.0001; Spearman rho).